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ESSAY: ADMISSION CTG This essay will critically evaluate both the evidence available and current midwifery practice. I will also refer to how this can affect maternal choice. The rationale for me choosing the subject of admission cardiotocography (CTG) is that during my delivery placement I witnessed on many occasions, midwives having to make decisions regarding the monitoring of the fetal heart during labour. By the early 19th century, it was recognised that the fetal heart rate (FHR) altered in response to internal and external stresses, thus paving the way for the assessment of fetal well-being and ultimately for the development of fetal medicine (Sureau 1996). Since then, electronic fetal monitoring (EFM), which involves simultaneous recording of the FHR and uterine contractions to a print out known as cardiotocograph (CTG), has become the widely used technique for assessing fetal well-being during labour (Henson 1993). Intermittent auscultation involves listening to the fetal heart at...

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